Jonathon R.B. Halbesleben
University of Alabama
March 6, 2013
Erin Holve, Ph.D., M.P.H.,
M.P.P.
– Senior Director of
Research & Education,
AcademyHealth
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Receive an overview of appropriate strategies for assessing nonresponse bias
Learn how to identify the primary contributors to nonresponse bias
Understand six methods for assessing nonresponse bias, including the circumstances under which each is applicable to their data
Describe the advantages and disadvantages of six methods for assessing nonresponse bias.
+
Evaluating Survey Quality in
Health Services Research: A
Decision Framework for Assessing
Nonresponse Bias
Jonathon Halbesleben
University of Alabama
+
The story behind the paper
+
Ways of Thinking About
Nonresponse Bias
Response Rate
Nonresponse bias = P
NR
(Mean
Res
- Mean
Pop
)
OR
Nonresponse bias = P
NR
(Mean
Res
- Mean
NonRes
)
Ideally, one would be thinking about this BEFORE conducting the survey…but that’s not always possible
Related to, but not quite the same as, subject attrition
+
A Decision Framework
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Do you have access to the population?
Follow-up analysis
Contact subset of non-respondents with survey to see if differences emerge
Likely to have high nonresponse on the follow-up
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Are There Questions in the
Survey That Might Address
Reasons for Nonresponse?
Leverage-Salience theory
Interest-level analysis
Interest associated with responding
Questions as proxies for interest –look for variation, associations with substantive variables, control for interest
Passive nonresponse analysis
People who would have done it, but didn’t for some reason
Questions like workload can tap into this
Simply resending survey might address it
+
Were the Data Collected in
Multiple Waves or Reminders?
Continuum of resistance
Wave analysis
Respondents who complete survey only at Time
1 are compared to those who completed it all times
Respondents who responded to reminder are compared to those who responded earlier
+
Are Population Data Available?
Sample-Population comparison
Usually focused on demographics, which may not be helpful
Bebee et al. (2011)
Had access to health records of population of interest
Could compare health of respondents vs. nonrespondents
+
Have Others Published Similar
Data?
Benchmarking
Sometimes the whole point is to look at a different group or one we think might differ on substantive variables
+
What if my answer was “no” to everything?
Replication
File-Drawer analysis
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Recommendations
Thinking ahead – how might one avoid nonresponse?
Reporting multiple assessments of nonresponse
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Other considerations
“
Layers” of nonresponse
Variation on level of impact of nonresponse
Study of patient bill responsiveness
Dealing with potential nonresponse bias
Weighting
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